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Sage Clinical RCM, LLC logo

Outpatient Coder

Sage Clinical RCM, LLC
Posted 2 weeks ago
🇺🇸United States🏠Remote📁Healthcare/Clinical
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Apply Description Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Requirements Core Responsibilities Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Minimum Qualifications Credentials: CPC, CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM, modifiers, and NCCI edits. Familiarity with CMS guidelines and outpatient workflows. Client & Specialty Alignments Service Areas: Observation, Same Day Surgery / Ambulatory Surgery Center (ASC), Emergency Department, Ancillary services (e.g., radiology, lab, diagnostic testing), and Recurring/Outpatient Clinics. Specialty Expectations: Strong understanding of CPT coding across surgical and diagnostic services. Ability to code across mixed outpatient encounter types and apply payer-specific rules. Work Model & Employment Tracks Work Model: 100% remote, independent, production-focused environment with collaboration across coding, audit, and client teams. Full-Time (FT): Standard production aligned to client or project needs. Project-Based: Flexible support for backlog, specialty coverage, or targeted initiatives. Note: Some positions may require evening or weekend coverage based on client needs or project scope . Why Sage Clinical RCM National exposure to diverse, high-acuity health systems and specialties. Quality-first culture with realistic expectations (not volume-only). Flexible work options (FT). Opportunity to expand into other audit, education, and advisory services.

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